NPI | 1760090062 |
---|---|
Other Name | METRO NEUROHEALTH, LLC |
Entity Type | Organization |
Authorized Contact | KIMBERLY MERCILLE Billing Credentialing Specialist 314-497-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-07-22 |
Last Update Date | 2020-07-22 |